Cerebral infarction secondary to vasospasm after perimesencephalic subarachnoid hemorrhage

A. Fernandez, R. L. Bond, M. A. Aziz-Sultan, S. E. Olvey, H. S. Mangat

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Perimesencephalic subarachnoid hemorrhage (pSAH) has been described as a distinct form of subarachnoid hemorrhage (SAH) associated with good outcomes. We report a 48-year-old female who developed cerebral infarction due to severe diffuse vasospasm following pSAH. The patient presented with non-aneurysmal pSAH and was discharged home on day 5. However, one week later she developed an acute onset of right hemiparesis. A brain MRI showed acute infarctions on diffusion weighted imaging and her cerebral angiogram showed diffuse vasospasm. The patient received intra-arterial diltiazem and hypervolemic-hypertensive- hemodilution therapy with resulting resolution of the vasospasm and hemiparesis. While not as common as in SAH, there is a potential for the occurrence of cerebral infarction due to vasospasm after pSAH.

Original languageEnglish (US)
Pages (from-to)994-996
Number of pages3
JournalJournal of Clinical Neuroscience
Volume18
Issue number7
DOIs
StatePublished - Jul 1 2011

Keywords

  • Cerebral infarction
  • Perimesencephalic
  • Subarachnoid hemorrhage
  • Vasospasm

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)

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